Abstract:
OBJECTIVE:The aim of this study was to evaluate the outcomes of open reduction and internal fixation (ORIF) in hamate hook fractures and review the literature on this surgical procedure. METHODS:We report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 men and 1 woman; mean age: 32 years (range, 22-48 years)). In eight patients (61%) the fracture was associated with ulnar nerve neuritis in Guyon's canal. We assessed the following clinical data: age, sex, mechanism of injury, side of the injured hand and associated lesions, fracture classification, average time from injury to correct diagnosis, surgical technique, complications, and length of follow-up. All patients underwent radiological imaging, including standard radiographs in two planes (anteroposterior and lateral projections), and a CT study. Functional outcomes evaluated were pain, range of motion, grip strength, Disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score. RESULTS:The mean follow-up was 36 months (range, 12-144 months). All 13 cases were treated with ORIF of the hook of the hamate. Mean VAS pain score was 5 preoperatively (4-9) and 1 (0-2) postoperatively. All patients returned to pre-injury level and only one patient felt pain on activity. Preoperative modified Mayo wrist score was 51 and the postoperative value was 94. All outcomes scores improved significantly from preoperative values. The patients who participated in sports postoperatively were able to do so at or near pre-injury levels. Postoperative average range of wrist motion was 76° in extension, 71° in flexion, 14° in ulnar deviation, and 21° in radial deviation. Mean grip strength in the hand with the hook fracture was 58 kg compared with 53 Kg in the unaffected hand. All patients returned to their pre-injury level of functioning after 10-12 weeks and there were no complications. Analysis of grip strength revealed values comparable with the unaffected hand. CONCLUSION:ORIF of hamate hook fractures is a safe and effective technique to restore normal grip strength and return to pre-injury level. In cases of ulnar nerve neuritis, neurolysis of the deep palmar branch is mandatory. LEVEL OF EVIDENCE:Level IV, Therapeutic study.
journal_name
Acta Orthop Traumatol Turcjournal_title
Acta orthopaedica et traumatologica turcicaauthors
Lamas-Gómez C,Velasco-González L,González-Osuna A,Almenara-Fernández M,Trigo-Lahoz L,Aguilera-Roig Xdoi
10.1016/j.aott.2018.12.005subject
Has Abstractpub_date
2019-03-01 00:00:00pages
115-119issue
2eissn
1017-995Xissn
2589-1294pii
S1017-995X(18)30224-4journal_volume
53pub_type
杂志文章abstract::We report a case of a pseudoaneurysm of the medial circumflex femoral artery that presented 4 months following cementless left total hip arthroplasty (THA). A successful embolization was achieved using super-selective catheterization and coil embolization. Arterial complications associated with THA are remarkably rare...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2014.3000
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:Intramedullary nailing is the preferred surgical treatment of humerus shaft fractures. The purpose of this study was to investigate the relationship between the bicipital groove and specific anatomical landmarks in achieving correct alignment of the humerus during intramedullary nailing, and to describe these...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0188
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Delaying the treatment of bone and tendon injuries may cause unmanageable complications. Bonesetters continue to cause delays in treatment. The purpose of this study was to analyze the medical outcomes of delay due to bonesetter intervention and factors affecting patient treatment preference. METHODS:Among o...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0358
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of extramembranous transfer of the tibialis posterior (TP) tendon for the treatment of drop foot deformity. METHODS:The study included 13 patients (6 females, 7 males; mean age 30 years; range 10 to 46 years) who underwent 15 tendon transfers for drop foot deformity. Ten patie...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2008.310
更新日期:2008-11-01 00:00:00
abstract::Vascular injuries associated with the tibial nailing have been reported in few case reports. We here report a unique case of anterior tibial artery (ATA) pseudoaneurysm caused by the second proximal coronal interlocking bolt. We found that the position of interlocking bolts on the nail brings them very close to the an...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2015.01.001
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:The aim of our study was to evaluate thoracic vertebrae rotation in patients with pectus excavatum. Moreover, we wanted to assess the prevalence, the severity and relationship between pectus excavatum and adolescent idiopathic scoliosis (AIS). METHODS:We performed retrospective analysis of 82 preoperative ches...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2017.03.005
更新日期:2017-07-01 00:00:00
abstract::A 20-year-old female presented with a painful swelling in the right knee and snapping sensation on joint motion that appeared without trauma and recurred several times. She had no history of a bleeding disease or trauma. Physical examination showed no signs of rash or temperature change or systemic or local findings o...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2010.2240
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to evaluate Turkish trends in zone 2 flexor repair with regards to surgical technique, suture materials, anesthesia and post-operative rehabilitation and compare this with international surgeons by modifying Gibson's survey. METHODS:A printed and online survey consisting of 19 ques...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aott.2019.07.003
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to compare calcium sulfate (CAS) and polymethylmethacrylate (PMMA) bone cements used for the augmentation of a failed pedicle screw with biomechanical pull-out strength (POS) testing. METHODS:Thirty lumbar vertebrae were harvested from 6 calves and bone mineral densities (BMD...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2014.3193
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The aim of our study was to examine the effect of suction drains on knee after arthroscopic partial meniscectomy with partial fat pad removal or synovectomy. METHODS:We performed arthroscopic partial meniscectomy for posterior tears of the medial meniscus and partial fat pad or synovium shaving in 72 patient...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,随机对照试验
doi:10.3944/AOTT.2011.2545
更新日期:2011-01-01 00:00:00
abstract::Bizarre parosteal osteochondromatous proliferation (BPOP, also known as Nora's lesion) is a rare, benign, locally aggressive condition defined as osteochondromatous exostosis arising from the bony cortex. BPOP presents predominantly in the 2nd and 3rd decades of life, and commonly arises from the periosteum of metacar...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2016.13.0141
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the effect of posterior malleolar fractures, which measured less than 25% of the joint surface, on the results of ankle fractures. METHODS:The study included 44 patients (21 females, 23 males; mean age 44 years; range 17 to 76 years) who underwent surgical treatment for Weber types B or C ankle...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:Closed reduction followed by short-time immobilization is the generally accepted treatment for simple elbow dislocations. However, the number of studies concerning the results of this method is limited. In this study, the clinical and radiographic results of conservatively treated simple elbow dislocations w...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2010.2400
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to compare the efficiency of dorsal tangential fluoroscopy and ultrasonography in detecting dorsal screw penetration in distal radius volar locking plate applications. METHODS:Ten cadaveric forearms were operated. The distal four screws were protruded 0, 1 and 2 mm into each of the ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2017.10.004
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:The results of open reduction and internal fixation of humeral shaft fractures by either an intramedullary nail or a dynamic compression plate were compared. METHODS:The study included 60 patients (43 males, 17 females; mean age 38 years; range 19 to 61 years) with humerus fractures. Thirty-three patients w...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Shoulder complaints are one of the leading reasons for a doctor's visit in athletes involved in overhead activities, and among them, dislocation and subluxation are very frequent clinical presentations. Although diagnosis and management of shoulder problems are more clear-cut in traumatic cases, atraumatic cases may b...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,评审
doi:
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the functional and radiological results of semiconstrained Coonrad-Morrey total elbow arthroplasty for distal humeral nonunions in the mid-term period. METHODS:Seven patients were treated with Coonrad-Morrey total elbow arthroplasty for distal humeral nonunion. All p...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2015.14.0309
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the contribution of subacromial local anesthetic and corticosteroid injection to the conservative treatment of subacromial impingement syndrome. METHODS:The study included 56 patients (39 women, 17 men; mean age 50 years; range 31 to 68 years) with subacromial impingement syndrome without any r...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,随机对照试验
doi:10.3944/AOTT.2009.331
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVES:We evaluated the results of surgical treatment for elbow dislocations accompanied by Regan-Morrey type 2-3 coronoid fractures. METHODS:Eight patients (6 males, 2 females; mean age 44 years; range 23 to 76 years) underwent surgical treatment for elbow dislocations accompanied by a coronoid fracture. Three pa...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2008.258
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to examine the changes in the lumbar intervertebral area after extracorporeal shockwave therapy (ESWT) at different energy levels in a rabbit model using magnetic resonance imaging (MRI) and histopathological evaluation. METHODS:The study included 30 male New Zealand white rabbits d...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2012.2931
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the results of primary open reduction and internal fixation with the Herbert-Whipple screw in acute displaced carpal scaphoid fractures. METHODS:The study included 10 patients with acute displaced carpal scaphoid fractures and one patient with transscaphoid perilunate fracture dislocation. All ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to analyze and compare the preoperative anamnestic details between patients with an arthroscopic diagnosis of bucket handle and other tear patterns of the medial meniscus in stable knees. METHODS:A total of 204 patients (mean age 49.3 ± 13 years) were included in the study. The mean...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2016.03.009
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To describe a clinical treatment algorithm for posterior ankle impingement (PAI) syndrome in professional football players. MATERIAL AND METHODS:A case series of 26 elite professional football players diagnosed and treated for posterior ankle impingement syndrome were included for the study. All of the athle...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2016.03.008
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the effects of short-term, high-magnitude whole-body vibration (WBV) on serum type I collagen turnover in immobilized rats. MATERIALS AND METHODS:Thirty Wistar albino rats were randomly divided into the following 5 groups: immobilization (IS), immobilization + remobil...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.1016/j.aott.2016.07.007
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:It is important to know the carrying angles of both elbows in the evaluation of deformities which may be seen after treatment of distal humerus fractures. This study was performed to determine the basal values of the carrying angle in specific age groups. METHODS:The carrying angles of both elbows were meas...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::During the past two decades, there has been a significant increase in sports participation by pediatric athletes. Spinal injuries thus have become a great concern. The unique nature of the pediatric spine should be well-recognized and low back pain in a pediatric athlete should therefore be taken seriously and evaluat...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract::Snapping scapula syndrome represents a rare entity in shoulder surgery. Clinically, it presents as shoulder pain and loud crepitus during shoulder movement. Moreover, glenohumeral bursitis can cause additional pain. Snapping scapula syndrome is caused by an increased angulation of the superomedial part of the scapula ...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,评审
doi:10.3944/AOTT.2015.3241
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine whether platelet-rich plasma has a regenerative effect on a sciatic nerve injury model in rats. METHODS:A sciatic nerve cut model was created in 24 nerves of 12 rats. All nerves were repaired with epineural sutures by the same surgeon. Rats were randomly divided into tw...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/AOTT.2014.13.0029
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The double-bundle (DB) techniques are considered to yield better stability of the knee compared with single-bundle (SB) for anterior cruciate ligament (ACL) reconstruction. However, most studies followed up patients in short to middle-term within 5 years, and the longer-term efficacy of SB and DB ACL reconstr...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章,meta分析
doi:10.1016/j.aott.2018.12.004
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to report the prevalence of post-fracture bone mineral density (BMD) testing and osteoporosis treatment in patients admitted to the orthopedic department for low-energy or high-energy fractures and to identify factors affecting prevalence of post-fracture BMD testing and osteoporosis...
journal_title:Acta orthopaedica et traumatologica turcica
pub_type: 杂志文章
doi:10.3944/aott.2013.3065
更新日期:2013-01-01 00:00:00